NPI | 1356387880 |
---|---|
Doing Business As | STOCKBURGER FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | RODNEY J ANDERSON CEO 360-318-8800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-22 |
Last Update Date | 2025-03-20 |